the child, in addition to burns of the oropharynx, esophagus and stomach were still burning the skin of the chest and back due to the fact that part of vinegar spilled on clothing and contact with the skin, – said the head of the Department of anesthesiology and intensive care of CDCB, chief of children’s resuscitation of the Chelyabinsk region Elena Gritskova. – So first we were taken to a burn center, where the victim spent the first FGS and found out that she had a total lesion of the esophagus with the transition to the stomach.
At children’s hospital often faced with the consequences of chemical burns from acetic acid. These children come with severe intoxication and renal acid calls hemolysis. So the first week the doctors were ready for their refusal and did everything to stabilize the child’s condition.
again, the FPS did only on the seventh day – was too great a likelihood that the endoscope may damage the esophagus and injured ahead of time to break burn film that could lead to internal bleeding. All this week the child was on a ventilator. However, the miracle did not happen, and the FPS showed significant gastric damage. As the little girl managed to swallow such a quantity of vinegar, still remains a mystery. Often glotovka acid children reveal chemical burns of the upper segments of the oropharynx and esophagus. Defense mechanism triggered and the child tries to spit out the liquid because it is very painful and tasteless. However, this time the lesions of the stomach were so severe, that the girl decided to feed through eunostos is an opening in the intestine through which the food of man, bypassing the mouth, esophagus, and stomach.
39 days the little girl stayed in intensive care unit, being fed through eunostos and continuing treatment of internal burns. Periodically, the doctors checked the condition of the stomach. However, despite all efforts, it has become one solid scar, and its lower outlet Department just “zapalka”. The doctors decided to remove the damaged stomach and form a new from the small intestine.
Such an operation in the Chelyabinsk region have not done. To the operating table stood up, the Deputy chief physician on surgery of CDCB, chief pediatric surgeon of the Chelyabinsk area Nikolay Rostovtsev, the head of children’s surgical Department at Maxim Edicin.
For my big practice, I first performed a total resection of the stomach child. I’m lucky I’m friends with endoscopic surgeon, whom she met in China in Shanghai, he is an expert on such transactions. He told me the subtleties of total resection endoscopic method. So I was all ready, – said Nikolai Mikhailovich.
the Laborious work lasted for several chaSov. After surgery, the child returned to the Department of anesthesiology and intensive care, where he closed eunostos. In intensive care the little girl had to learn how to eat again.
fortunately, all ended well. After a week the baby was transferred from intensive care to a regular ward. And now a little Taisiya was discharged home, where she has to learn to live with my new stomach, said CDCB.
